RAILROAD COMMISSION OF TEXAS
Form P-16
Page 1
1701 N. Congress
P.O. Box 12967
Austin, Texas 78701-2967
Rev. 01/2016
Acreage Designation
Operator Name:
Operator Address:
District No.:
Well No.:
Total Lease Acres:
Lease Name:
Field Name:
SECTION I. OPERATOR INFORMATION
Operator P-5 No.:
SECTION II. WELL INFORMATION
County:
API No.:
Drilling Permit No.:
Lease No.:
Field No.:
Purpose of Filing:
Drilling Permit Application
(Form W-1)
Completion Report
(Form G-1/W-2)
Filer is the owner or lessee, or has been authorized by the owner or lessee, of all or an undivided portion of the mineral estate under each tract for which filer is listed
as operator below. For all leases operated by other entities, the number of assigned acres shown are reflected on current Commission records or the filer has been
authorized by the current operator to change the assigned acreage of that operator as shown below.
SECTION III. LISTING OF ALL WELLS IN THE APPLIED-FOR FIELD ON THE SAME ACREAGE AS THE LEASE, POOLED UNIT,
OR UNITIZED TRACT DESIGNATED IN SECTION II ABOVE BY FILER
H-Horizontal
SWR 38
Operator Name and
RRC ID No. or
Well
Acres
D-Directional
Lease Name
API No.
Except.
Operator No.
Lease No.
No.
Assigned
(if different from filing operator)
V-Vertical
(Y/N)
Total Well Count >
< A. Total Assigned Horiz. Acreage
< Total Remaining Horiz. Acreage
< C. Total Assigned Acreage
< Total Remaining Acreage
< B. Total Assigned Vert./Dir. Acreage
< Total Remaining Vert./Dir. Acreage
SECTION IV. REMARKS / PURPOSE OF FILING (see instructions)
Attach Additional Pages As Needed.
No additional pages
Additional Pages: _____ (No. of additional pages)
CERTIFICATION: I declare under penalties prescribed in Sec. 91.143, Texas Natural Resources Code, that this report was prepared by me or under my supervision or
direction, that I am authorized to make this report, and that the information contained in this report is true, correct, and complete to the best of my knowledge.
________________________________________ _____________________________________ ____________________________________________
Signature
Name and title (type or print)
Email (include email address only if you affirmatively
consent to its public release)
__________________________________________________________________________________ _______________________________ ________________________
Address
City,
State,
Zip Code
Tel: Area Code
Number
Date: mo. day yr.
RAILROAD COMMISSION OF TEXAS
Form P-16
Page 2
1701 N. Congress
P.O. Box 12967
Austin, Texas 78701-2967
Rev. 01/2016
Acreage Designation
Filer is the owner or lessee of all or an undivided portion of the minerals under each tract listed below and has the legal right to drill on each tract traversed by the
well that will have perforations or other take points open in the interval of the applied-for field(s). All tracts listed will actually be traversed by the wellbore or the
filer has pooling authority or other contractual authority, such as a production sharing agreement, authorizing inclusion of the non-drillsite tract in the acreage
assigned to the well.
SECTION V. LISTING OF ALL TRACTS CONTRIBUTING ACREAGE TO AN RRC DESIGNATED DRILLSITE DEVELOPMENTAL UNIT THAT IS NOT A SINGLE
LEASE, POOLED UNIT, OR GROUP OF TRACTS UNITIZED BY CONTRACT FOR PURPOSES OF SECONDARY RECOVERY
RRC ID No. or
Lease No.
Lease Name
Beginning Lease
Acreage
Allocated
Lease Acreage
Ending Lease
Acreage
Total Allocated Acreage >
Operator Name and Operator No.
(if different from filing operator)
< Total Lease Acreage
Filer is the owner or lessee, or has been authorized by the owner or lessee, of all or an undivided portion of the mineral estate under each tract for which filer is listed
as operator below. For all leases operated by other entities, the number of assigned acres shown are reflected on current Commission records or the filer has been
authorized by the current operator to change the assigned acreage of that operator as shown below.
SECTION VI. LISTING OF ALL WELLS IN THE APPLIED FOR FIELD ON THE SAME ACREAGE
AS THE LEASE OR POOLED UNIT DESIGNATED FOR THE TRACTS LISTED IN SECTION V BY FILER
RRC ID No. or Lease No.
Well
No.
Acres
Assigned
SWR
38
Except.
(Y/N)
H-Horizontal
D-Directional
V-Vertical
A. Total Wells & Acreage >
B. Total Assigned Horiz. Acreage >
C. Total Assigned Vert./Dir. Acreage >
RRC ID No. or Lease No.
Well
No.
A. Total Wells & Acreage >
B. Total Assigned Horiz. Acreage >
C. Total Assigned Vert./Dir. Acreage >
56565
SECTION VII. REMARKS
Acres
Assigned
SWR
38
Except.
(Y/N)
H-Horizontal
D-Directional
V-Vertical